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Home My WebLink AboutCLE201400085 Legacy Document 2014-05-22Application for Zoning Clearance �F A CLE # Zol 9 ` C6'5" OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # 2 I Date: S I3 Receipt # (c Z (c Staff: na PARCEL INFORMATION/I q `'t J _ ! 3 Existing Zoning Tax Map and Parcel: 4 A e0. —7" s,+,- L_e Owner• ``" C"� - Parcel . Parcel Address: 1q0-1 �2M� A p Tr-'a� t City ctf 0 5 VI State Zip 2Z701 (include suite or floor) PRIMARY CONTACT Who should we call /write concerning this project? ��l t— I PA� �S�atP �i�arJac Address : 373 3 Fow l ec- City F%. My 2.r S State 1= I— zip 33901 Office Phone: CZB q.31 -Cj k03 Cell # GtLf —7—(aq Fax # 03CI 'C13:e' E -mail SD1! ts.lGi?A�T c�F r-r i COm APPLICANT INFORMATION ' . Check any that apply: Change of ownership Change of use Change of nnaamee business ;Neew Business Name /Type:�1 ;{.e_ � r� Q �S 1GC O .G G2 � Previous Business on this site J +e —e_-0 CS Describe the proposed business including use, number of employees, number of shifts, available parkin spaces, number of vehicles, and any additional information that you can provide: t GSS sx�'� l ° t_.Geryteu a c.m o • - -5 - 5C,+ b' s G' z — 0' Ove * is Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning, Clearance will be required: I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed fJ 12 APPROVAI INFORMATION X] Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x117. [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. / [ ] This site complies with the site plan as of this date. !*itS If rQ �,i'r _�J J- f�i. �✓✓ `7� Notes: 0 Building Official Date`- �(�! Zoning Official Date LZ -) ) _U�II Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 A+ ad �(,r7arS Intake to complete the following: Y /`O Is use in LI, HI or PDIP zoning? If so, give applicant a Certified. Engineer's Report (CER) packet. Y / Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on private well Apublic ter? If private well, provide Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that ap ie""s-�, —'�-1 Is parcel on septic r�u1�11�sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 7., ,. +„ :.I +. +hn :nllnwinrr- Reviewer to complete the following: Square footage of Use: 3 i yU / N 1 A 6M� Permitted as: Under Section: � �-/• -2 • / Supplementary regulations section: Parking formula: 2 j Required spaces: l i' Y / V Items to be verified in the field: Inspector : Date: Notes: Violations: Y /Qst If so, : Proffers: Y/ If so, ist: �'lariance: 0/N If so, List: _ SP's: JO/N If so, List: 4 Clearances: SDP's Revised 7/1/2011 Page 3 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, Same l t-6 Pf r 6 (� 66 S [County application name and number] was provided to apz�+ � : .� �r v the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number 4 S- 0(3 by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date Mailin g a co of the application to 4cas+ C . pip- Me-0 Z copy [Name of the record owner if the record owner is a perso , if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on 5 6 114 to the following address: Date tom, Q 8 0 [address; writtenotice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. ignat e of A plic a RA Print App icant Name Date n ` u v m v 1 i s i s h i o c' w i s i s h A PO Box 182000 Columbus, OH 43218 -2000 safelite.com twitter. com/saf elite facebook.com /safelite May 9, 2014 Mr. JT Newberry CityPlanrier County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Re: 1907 Seminole Trail, Charlottesville, VA Dear JT: Enclosed please find the $50 application fee along with a completed Zoning Clearance Checklist Application covering the above referenced property. I have also submitted the Architectural Review Board and County -Wide Certificate of Appropriateness Applications to Margaret Maliszewski. In response to the information requested under Item 2 of the checklist, please see responses below to items 2a through d: a. The proposed space within the structure is shown in red. b. Total square footage of the proposed use is 3,900. c. Finished office areas comprise of 1,020 sq. ft. managers office —150 sq. ft., CSR office — 225 sq. ft., customer waiting and hallways — 500 sq. ft., restrooms 145 sq. ft. Shop space is 2,880 sq. ft. d. Use of each room is noted above. Thank you for your consideration and should you have any questions, please do not hesitate to contact me at 239 - 931 -9803 (office) or 614 - 264 -1144 (cell). Sincerely, ahn Kraft Real Estate Manager Safelite AutoGlassO Safelite® Glass Corp. Safelite" Solutions Service AutoGlassO Alliance Claims Solutions"